Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boscovs Department Store LLC

Organization Eyewear Supplier · NPI 1285568030

Boscovs Department Store LLC is an Eyewear Supplier in Erie, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5800 Peach St Uppr
Erie, PA 16565-5601
Phone: (814) 866-1239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1285568030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Derenzo — Director Of Optical Services · (856) 759-9905
Other names Boscov'S Optical
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address4500 Perkiomen Ave, Reading, PA 19606-3946

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